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Case Study: MN553 Advanced Pharmacology Unit 9 Case Study|“Prescribed Drugs with CAMs” $10.99
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Case Study: MN553 Advanced Pharmacology Unit 9 Case Study|“Prescribed Drugs with CAMs”
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Case Study: MN553 Advanced Pharmacology Unit 9 Case Study “Prescribed Drugs with CAMs” Student Name Date of Submission This paper addresses a pharmacological management plan for Mr. NX, including consideration of possible contraindications for CAMs, prescriptive and non-prescriptive rec...

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  • January 19, 2024
  • 7
  • 2023/2024
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Case Study: MN553 Advanced Pharmacology
Unit 9 Case Study
“Prescribed Drugs with CAMs”
Student Name
Date of Submission

This paper addresses a pharmacological management plan for Mr. NX, including

consideration of possible contraindications for CAMs, prescriptive and non-prescriptive

recommendations for management of acute pain and other ongoing disease processes, followed

by evaluation strategies.

Pharmacological Management Plan

CAMs Contraindicated with Current Prescriptions and Diagnoses

Treating and managing acute pain comprises assessing its cause and then initiating both

pharmacological and non-pharmacological interventions. Usually, pharmacological management

includes the use of or administration of various medications that relieve pain such as ibrufen,

acetaminophen, among others. On the other hand, non-pharmacological treatment involves

numerous methods such as exercises, physical therapy, and a modified lifestyle.

According to Singh et al., 2012, complementary and alternative medicine (CAM) refers

to those drugs that are prescribed and administered to patients in certain particular conditions

when one type of drug fails to bring a positive outcome or unable to treat the underlying

condition. Usually, physicians prescribe CAMs to enhance management of the patient’s

condition, and they are typically prescribed after the doctor has done a thorough evaluation of the

patient, CAMs, and the side effects that the disease might have to the patients (American College

of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines, 2002). CAMs are effective

at improving disease management and yielding a positive patient outcome.

, However, there are some instances that they may be more harmful than beneficial to the

patient. And this is why the physician must evaluate the patient before initiating or prescribing

such complementary and alternation drugs. In the case study, Mr. NX has a history of three

conditions and acute pain which might be related to his underlying conditions. He has under

medication to control these conditions. For instance, he is receiving lisinopril 20mg daily to

manage hypertension. He is also receiving glyburide 3 mg daily to manage diabetes and

Coumadin 5mg daily for deep venous thrombosis.

There are various types of CAMs, and they are currently prevalent. About 15% of the

United States population is using CAMs every week. About 6% to 15% are using these

complementary and alternative drugs with other prescribed medications (Hashempur et al.,

2015). Most of these patients do not know the side effects or drug interactions that may result

from such combinations of drug use.

Some CAMs are contraindicated in certain prescription drugs. For instance, those CAMs

that have antiplatelet or anticoagulant effects like the willow bark and Ginko are contraindicated

for use with Coumadin, which is a type of warfarin.

The most at-risk patients are those patients that are taking Coumadin with a narrow

therapeutic window like the case study. CAMs such as St. John’s wort, cayenne, CoQ10, willow

bark, and ginger are linked to increased risk of bleeding such patients like Mr. NX. Another

CAM that is contraindicated with the Coumadin prescription is the chitosan. This is because this

CAM interferes with the absorption of vitamin K that affecting the half-life of Coumadin.

Mr. NX is using kava kava which is stated to alter the mechanism of action Coumadin

and result in its increase action and increased bleeding. Kava kava is contraindicated in this case

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